Basic Information
Provider Information
NPI: 1427148030
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NEUMAYER
FirstName: LEIGH
MiddleName: ANNE
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 413035
Address2:  
City: SALT LAKE CITY
State: UT
PostalCode: 841413035
CountryCode: US
TelephoneNumber: 8012133900
FaxNumber: 8015853655
Practice Location
Address1: 50 N MEDICAL DR
Address2:  
City: SALT LAKE CITY
State: UT
PostalCode: 841320001
CountryCode: US
TelephoneNumber: 8015812431
FaxNumber: 8015852425
Other Information
ProviderEnumerationDate: 10/13/2006
LastUpdateDate: 03/19/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2086S0127X187634-1205UTY Allopathic & Osteopathic PhysiciansSurgeryTrauma Surgery

No ID Information.


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